Individual
DR. LAURA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-5600
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-6300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10482
MA
Other
Enumeration date
04/28/2014
Last updated
03/24/2017
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